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Organization

T-REX THERAPY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERTO HERNANDEZ C.O.T.A. (PRESIDENT/ CEO)
(956) 445-2869
Entity
Organization

Contact information

Practice address
322 SAINT GEORGE ST, GONZALES, TX 78629-3912
(956) 445-2869
(956) 688-6970
Mailing address
322 SAINT GEORGE ST, GONZALES, TX 78629-3912
(830) 672-7300
(830) 672-7302

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
TX

Other

Enumeration date
12/30/2008
Last updated
10/28/2010
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